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Relevant Position Statements of Professional Indemnity Organisations

Dental Protection

Website: http://www.dentalprotection.org/uk/publications-resources/position-statements-and-briefing-documents/position-statements-display-page/2014/12/10/snoring-and-obstructive-sleep-apnoea-syndrome

Snoring and Obstructive Sleep Apnoea Syndrome. Issued 30 Oct 2013

The Dental Defence Union

Website: http://www.theddu.com/guidance-and-advice/latest-updates-and-advice/treatment-of-sleep-apnoea

Treatment of sleep apnoea. Issued 19 Dec 2012

Website: http://www.theddu.com/press-centre/press-releases/snoring-treatment

Snoring treatment. Issued 21 Dec 2012

Standards of Care

Association for Respiratory Technology & Physiology

Website: http://www.artp.org.uk/en/sleep/sleep-standards/index.cfm/sleep-standards-iods

The ARTP Sleep with the ARTP Sleep Apnoea Consortium have published the latest version of a standards of care document for Mandibular Repositioning Devices. Available as a pdf from the link above – Version 3 – 09/01/2014

Non Commercial Organisations

European Academy of Dental Sleep Medicine

Website: http://www.eadsm.eu/

EADSM is an international non profit organization, which offers a scientific platform for dentists and medical colleagues. This platform enables interdisciplinary exchange to promote best practice in dental treatments for Sleep Related Breathing Disorders (SRDB) like Snoring and Obstructive Sleep Apnoea (OSAS).

The British Sleep Society

Website: http://www.sleepsociety.org.uk

The British Sleep Society is an professional organisation whose membership consists of mainly medical, healthcare and scientific workers who have interest in sleep and its medical disorders. The aims of the society are to improve public health by promoting education and research into sleep and its disorders.

The Sleep Apnoea Trust Association

Website: http://www.sleep-apnoea-trust.org

The Sleep Apnoea Trust Association exists to improve the lives of sleep apnoea patients, their partners and their families. You can help in this valuable work by joining the Sleep Apnoea Trust Association. The Sleep Apnoea Trust is managed entirely by unpaid volunteers.

The Royal Society of Medicine Sleep Medicine Forum

Website: http://www.rsm.ac.uk

The RSM Sleep Medicine Forum exists to promote understanding of sleep and its disorders thereby providing adequate practices.

The British Thoracic Society

Website: http://www.brit-thoracic.org.uk

The BTS is the UK’s professional body of respiratory specialists.

The British Lung Foundation

Website: http://www.blf.org.uk

The British Lung Foundation is the only UK charity working for everyone affected by lung disease of any kind from mild asthma to lung cancer, and including obstructive sleep apnoea. The Foundation provides support to people affected by lung disease, funds research, and campaigns to bring about positive change in lung health and improved treatment, care and support for people affected by lung disease.

British Lung Foundation OSA UK health economics report 2014

Website: http://www.blf.org.uk/Page/OSA-UK-health-economics-report

The Orthodontic Technicians Association

Website: http://www.ota-uk.org

The Orthodontic Technicians Association (OTA) is the professional body that represents orthodontic technology specialists in the United Kingdom affiliated with the British Orthodontic Society. The aims of the association are to encourage the study, promote the highest standards of practice, and advance the knowledge of orthodontic laboratory and clinical techniques for the benefit of the orthodontic team and patient. The OTA advises institutions and individuals on the use of all orthodontic laboratory techniques and the service that is provided by orthodontic technicians.

Some useful terms

APNOEAIC EPISODE (ap-knee-ic) A period of not breathing whilst asleep usually lasting for more than 10 seconds.

HYPERCAPNIA (high-per-cap-nee-ah) A raised level of carbon dioxide in the blood. This is the gas normally breathed out. Its blood level rises if breathing is inadequate. Usually measured by taking an arterial blood sample.

HYPERSOMNOLENCE (high-per-som-no-lence) Technical expression for excessive daytime sleepiness.

HYPNOGRAM (hip-no-gram) The final print out of the all-night sleep stages after an overnight study. (REM and non-REM).

HYPOPNOEA (high-pop-nee-ah) A period of underbreathing: usually for more than 10 seconds.

HYPOTHYROIDISM (high-po-thy-royd-ism) Also known as myxoedema (mix-ee-dee-ma). When the thyroid gland fails to make enough thyroid hormone. Can present as obstructive sleep apnoea.

HYPOXIA (high-pox-ee-ar) When the body is short of oxygen and therefore the level in the blood falls.

HYPOXIC DIPS (high-pox-ic) The falls in oxygen levels, seen on the oximeter, that usually accompany apnoeas. Also known as desaturations, because, when not hypoxic, the blood is described as fully saturated with oxygen.

INSOMNIA (in-som-nee-ah) Being awake when you want to be asleep. Often thought of as a problem but may not be. Common if people try to spend too long in bed.

MANOMETER (man-om-eater) Device to measure the pressure being delivered by a CPAP machine (usually measured in centimetres of water [cm H20] – where a common CPAP pressure is about 10).

MICRO AROUSALS Very brief “awakenings”, perhaps only seen when the brain waves (EEG) are being monitored.

MOVEMENT AROUSAL These are short awakenings with minor body movements, about which the sleeper is unaware.

MUFFLES™ Wax ear plugs. Less comfortable than the foam ones (EAR™) but more effective. From most chemists.

NARCOLEPSY (nar-co-lep-si) A cause of daytime sleepiness due to an inherited disorder of the control of dreaming sleep. Has to be differentiated from sleep apnoea, periodic leg movements and other rarer causes of daytime sleepiness.

NASAL CPAP (nasal see-pap) The process of delivering a continuously raised airway pressure mask worn on the nose, hence Continuous Positive (as opposed to negative) Airway Pressure.

OBSTRUCTIVE SLEEP APNOEA (ap-knee-ah) This syndrome is commonly referred to as OSA (obstructive sleep apnoea/apnea) or

OSAS (obstructive sleep apnoea/apnoea syndrome). Usually made up of 30 or more periods of not breathing when asleep. Each period lasting for more than 10 seconds.